go back

Detailed Retina Drawing and Evaluation, Initial

Illinois rates for HCPCS 92225

This covers a detailed hand-drawn or documented examination of the back of the eye, focused on the retina, performed with pupil dilation and specialized lenses. It is used to closely evaluate conditions such as a retinal tear, detachment, or a suspicious growth, going beyond a routine eye exam. This is the version performed as the first evaluation of the condition being tracked.

Rates data updated July 2026.

Professionalmedian $48 · 10th–90th $17$1020%10%10th90th$48$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$22.91
Typical High
$125.89
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$47.86
Typical High
$60.26